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Surface waters in El Salvador are highly degraded, with only a small portion of municipally derived wastewater receiving treatment. Lack of technical capabilities in wastewater management in El Salvador contributes to high child mortality rates1 and environmental pollution and puts the tourism sector, on which the local economy depends, at risk from adverse publicity about potential disease outbreaks tied to poor sanitation. The concern is especially acute in beach and surfing destinations, such as those around La Libertad, where hotels and other tourist-related facilities continue to discharge septic tank effluent or raw sewage directly to groundwater and surface waters. While the issue is getting more attention, a coordinated effort engaging civil society, the private sector, and local government to improve water quality remains out of reach.

Guidance for Improving Sanitation in El Salvador's Tourism Areas Through Decentralized Wastewater Management Systems